PROVIDENCE MEDICAL GROUP
NPI 1083043178
Family Medicine in Mobile, AL

Active since November 08, 2013
610 PROVIDENCE PARK DR E, BLDG 1, SUITE 102, MOBILE, AL 36695(251) 639-5070(251) 634-2994 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL GROUP (NPI 1083043178) is a healthcare organization registered as a family medicine in Mobile, Alabama and active in the NPI registry since November 2013. The organization lists Todd S. Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1083043178
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES
Location Address610 PROVIDENCE PARK DR E, BLDG 1, SUITE 102Mobile, AL 36695-4622
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Fax(251) 634-2994
Organization SubpartYes
Authorized OfficialTodd S. KennedyPresident · (251) 633-1660
Enumeration DateNovember 8, 2013
Last NPPES UpdateSeptember 28, 2015
NPI 1083043178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
610 PROVIDENCE PARK DR E, Mobile, AL 36695

Other Names 1

Other NameProvidence Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
610 PROVIDENCE PARK DR E, BLDG. 2, SUITE 202
MOBILE, AL 36695
Pediatrics
610 PROVIDENCE PARK DR E, STE. 201
MOBILE, AL 36695
Internal Medicine
610 PROVIDENCE PARK DR E, BLDG 1 - SUITE 102
MOBILE, AL 36695
Pediatrics
610 PROVIDENCE PARK DR E, SUITE 201
MOBILE, AL 36695
Internal Medicine
610 PROVIDENCE PARK DR E, BLDG 1 SUITE 102
MOBILE, AL 36695
Internal Medicine
610 PROVIDENCE PARK DR E, BLDG. 1 SUITE 102
MOBILE, AL 36695
Internal Medicine (Pulmonary Disease)
610 PROVIDENCE PARK DR E, SUITE 104
MOBILE, AL 36695
Internal Medicine
610 PROVIDENCE PARK DR E, BLDG 1, SUITE 101
MOBILE, AL 36695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alabama Providence Healthcare Services's NPI number?

The NPI number for Alabama Providence Healthcare Services is 1083043178. It was assigned to this organization in the NPPES registry on November 8, 2013. The provider is also known as Providence Medical Group.

Where is Alabama Providence Healthcare Services located?

Alabama Providence Healthcare Services is located at 610 Providence Park Dr E Bldg 1, Suite 102, Mobile, AL 36695. The listed phone number is (251) 639-5070.

What is Alabama Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Alabama Providence Healthcare Services was last updated on September 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.